| NPI | 1255773784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 95322) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD463407) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2025-09-04 |