| NPI | 1861481665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2000156762) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KS 04-28660) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA C177681) | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2026-03-09 |