| NPI | 1174133615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OK 46585) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351046215) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MN 79234) | |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2026-07-27 |