| NPI | 1134757008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL OS21916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS21916) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-09-03 |