| NPI | 1306125836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX Q7224) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OK 33999) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2023-04-20 |