| NPI | 1164959185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 20A18461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S4200) |
| 208D00000X General Practice (Licence: TX S4200) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2024-08-22 |