| NPI | 1104331511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 332632) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MS T-3492) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A202786) | |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2025-06-18 |