| NPI | 1326145392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NM MD-2005-0152) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: UT 72-43923-1205) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-07-29 |