| NPI | 1396761458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 31726) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 031726) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2026-04-24 |