| NPI | 1891292280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 87551-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A188645) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2026-06-29 |