| NPI | 1326238593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P9456) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301087796) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OK 30932) | |
| 207R00000X Internal Medicine (Licence: MI 4301087796) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2026-01-13 |