| NPI | 1811242555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD198110) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60540628) |
| 207RN0300X Internal Medicine, Nephrology (Licence: HI MD-24743) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2025-09-25 |