| NPI | 1821470634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NM MD2025-0657) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: WI 83325) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2025-07-29 |