| NPI | 1346206927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9801606) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC 27912) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NC 98-01606) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2026-05-07 |