| NPI | 1649246059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 4061) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC 87484) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2026-03-16 |