| NPI | 1942272109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME98833) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 30928) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2025-09-28 |