| NPI | 1265099014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX T3372) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.142815) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX BP10067137) | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2021-09-14 |