| NPI | 1467654541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX D1543) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX D1543) |
| 174400000X Specialist (Licence: TX D1543) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2026-03-06 |