| NPI | 1346207560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TX N7812) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N7812) |
| 207RN0300X Internal Medicine Nephrology (Licence: ME MD25777) | |
| 207RN0300X Internal Medicine Nephrology (Licence: NY 294949) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2024-03-13 |