| NPI | 1265552145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX Q4310) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 264726-1) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2021-08-19 |