| NPI | 1871373944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2025020148) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA R-12809) |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2025-06-17 |