| NPI | 1164779393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN MD57778) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX BP20051920) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2022-03-23 |