| NPI | 1861486607 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 34031)  | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 34031)  | 
| Enumeration Date | 2005-09-08 | 
| Last Update Date | 2025-01-02 |