| NPI | 1861514259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301099274) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01096381A) |
| 207R00000X Internal Medicine (Licence: MI 4301099274) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2025-09-05 |