| NPI | 1275212037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ R81417) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MT227711) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2025-09-22 |