| NPI | 1417365305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SD 11818) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD480672) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2025-01-10 |