| NPI | 1427163286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX Q3182) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NE 22991) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IA 35957) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2025-07-02 |