| NPI | 1205043023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A135976) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI L917191) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AL 29945) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2025-06-13 |