| NPI | 1821138272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WY 17601A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS005894L) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MB06281000) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2025-03-18 |