| NPI | 1770627176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D0068604) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101245136) |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2026-04-16 |