| NPI | 1568428159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2001-100729) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC 27677) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2025-03-31 |