| NPI | 1336985167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 87575) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AZ R81237) |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2026-06-18 |