| NPI | 1326010570 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MO 2021033146)  | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036-091534)  | 
| Enumeration Date | 2006-02-02 | 
| Last Update Date | 2023-03-07 |