| NPI | 1306829882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 42561) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 63687) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2025-07-15 |