| NPI | 1326255308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX N6336) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301086524) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-02-04 |