| NPI | 1174910053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 56129) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R74943) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60951441) | |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2026-03-06 |