| NPI | 1467488783 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX Q3035) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E6783) | 
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 430101100111) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AR E6783) | |
| 207R00000X Internal Medicine (Licence: MI 4301100111) | |
| Enumeration Date | 2006-06-26 | 
| Last Update Date | 2022-03-08 |