| NPI | 1356827182 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2022049889)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.072617)  | 
| 207RN0300X Internal Medicine, Nephrology (Licence: NC RTL21-0071)  | |
| Enumeration Date | 2018-07-16 | 
| Last Update Date | 2024-05-23 |