| NPI | 1346433216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX M0656) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OK 31553) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2023-04-20 |