| NPI | 1649844267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME180159) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 15521-I) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2026-07-27 |