| NPI | 1558743146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 63770) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 77562) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2025-09-02 |