| NPI | 1144247750 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2017-02577) | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ND 9644) | 
| Enumeration Date | 2006-07-17 | 
| Last Update Date | 2025-03-27 |