| NPI | 1164541801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME117948) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 67736) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2026-07-07 |