| NPI | 1396971263 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301104646) | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A120868) | 
| Enumeration Date | 2009-06-05 | 
| Last Update Date | 2025-07-01 |