| NPI | 1093946824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 79209) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AR E-8532) |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MD460964) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2025-05-08 |