| NPI | 1740431212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 55316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 39534) |
| 207RN0300X Internal Medicine, Nephrology (Licence: VT 042.0013476) | |
| 207R00000X Internal Medicine (Licence: IL 125.053928) | |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2026-08-04 |