| NPI | 1447710439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 85907) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 71243) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-07-01 |