| NPI | 1982657805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 205573) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: RI MD11473) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2026-05-26 |