| NPI | 1083734982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 1083734982) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME151225) |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 059860) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2025-07-29 |