| NPI | 1033562525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: ND 17489) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX S9095) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2023-05-10 |