| NPI | 1932259702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD37268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0067508) |
| 207RN0300X Internal Medicine Nephrology (Licence: DC MD37268) | |
| 207RN0300X Internal Medicine Nephrology (Licence: MD D0067508) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2025-08-18 |