| NPI | 1285849927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2010017360) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT181651) |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 062539) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2025-11-03 |