| NPI | 1922374198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD465169) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101257117) |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2025-08-20 |