| NPI | 1811637689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD H0105857) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MD H0105857) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2026-05-01 |