| NPI | 1902659378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL TRN39408) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: FL TRN39408) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2026-07-20 |