| NPI | 1609486968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2025-00941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075342) |
| 246ZN0300X Specialist/Technologist, Other, Nephrology (Licence: IL 036.162548) | |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2025-05-02 |