| NPI | 1083890610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 8352748-1205) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD443070) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2021-12-20 |