| NPI | 1518533678 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 5151015117) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151015117) | 
| Enumeration Date | 2021-05-31 | 
| Last Update Date | 2024-06-18 |