| NPI | 1396397006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 44640) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351044780) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2026-01-12 |