| NPI | 1386215713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 111115) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA 336996) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 125078513) | |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2026-04-13 |