| NPI | 1770105769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 22603) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125075898) |
| 207R00000X Internal Medicine (Licence: IL 036.163604) | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2026-07-22 |