| NPI | 1396882650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO DR0045377) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 45377) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2026-07-01 |