| NPI | 1538666722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 79764) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 79764) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2025-09-29 |