| NPI | 1649546995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD H0083175) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0102204859) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2026-04-16 |