| NPI | 1225220783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P8689) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ND 16009) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MN 54173) | |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2024-05-23 |