| NPI | 1124246335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2009032079) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KS 0434257) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2026-09-01 |