| NPI | 1912153222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 50371) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 202074) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2025-11-03 |