| NPI | 1871706960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 28356) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL TPME2760) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MS 29599) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: TN 46045) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2025-03-17 |