| NPI | 1366443491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV 27415) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 23651) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2025-04-07 |