| NPI | 1770016198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD209311) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61047881) |
| 207RN0300X Internal Medicine, Nephrology (Licence: HI MD-24778) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2025-09-25 |