| NPI | 1508849886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NH 12878) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 256266) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2026-05-10 |