| NPI | 1528688058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 346464) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4351050446) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2025-09-29 |