| NPI | 1386680387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 13277025-1204) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 4370) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2024-05-09 |