| NPI | 1730354002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2007-01664) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101282060) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2025-12-30 |