| NPI | 1184773780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX L5083) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OK 34363) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2023-04-28 |