| NPI | 1417521675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME180773) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME180773) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2026-06-22 |