| NPI | 1174950125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 20A13759) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA 13759) |
| Enumeration Date | 2013-10-07 |
| Last Update Date | 2025-07-03 |