| NPI | 1932162641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 103718) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101240943) |
| 207R00000X Internal Medicine (Licence: NC 200301002) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AL 31178) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2025-04-30 |