| NPI | 1093784332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 1394) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MT MED-PHYS-LIC-88219) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2025-11-16 |