| NPI | 1114102282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101275361) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NV 13498) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX N9898) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2023-08-16 |