| NPI | 1679005201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME181766) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 71570) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2026-06-22 |