| NPI | 1770534042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101029175) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101029175) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2025-09-11 |