| NPI | 1881278729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS022604) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WV 4861) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 34.018228) | |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2026-06-17 |