| NPI | 1215052121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX U4239) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01085018A) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.128358) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2023-07-31 |