| NPI | 1790394039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2024048325) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2024048325) |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2025-09-09 |