| NPI | 1275594897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME95316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T8070) |
| 207R00000X Internal Medicine (Licence: NC 2026-01012) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2026-04-27 |