| NPI | 1124008644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC SC18227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD29854) |
| 207RN0300X Internal Medicine, Nephrology (Licence: ME MD29854) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2025-12-09 |