| NPI | 1467550483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 53117) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TN MD056926) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2026-07-31 |