| NPI | 1255365466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 47094) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036162823) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MO 2022049037) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: WI 2538-320) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: IN 01075602A) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: TN 67332) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.124500) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301063106) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-06-20 |