| NPI | 1811450844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301510950) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MT MED-PHYS-LIC-161462) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2026-04-28 |