| NPI | 1124343785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 56820) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 106799) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2026-01-28 |