| NPI | 1396371373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2025-01398) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 202501398) |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2025-09-18 |