| NPI | 1326188194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J5670) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD198923) |
| 207RN0300X Internal Medicine, Nephrology (Licence: VA 48950) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: OK 22661) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AR E2300) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2022-09-30 |