| NPI | 1669044673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2026-02516) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2026-02516) |
| Enumeration Date | 2021-07-11 |
| Last Update Date | 2026-07-17 |