| NPI | 1699778167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 32791) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AZ 32791) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2026-02-20 |