| NPI | 1871174276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 82686) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 87841) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2026-09-23 |