| NPI | 1396198800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC LL40021) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC 40021) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2025-07-11 |