| NPI | 1144486747 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX R6746) | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301511586) | 
| Enumeration Date | 2008-08-03 | 
| Last Update Date | 2024-07-19 |