| NPI | 1235348897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: UT 6856533-1205) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: NV 13068) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-05-02 |