| NPI | 1669628632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 69008-21) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 55567) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2025-03-21 |