| NPI | 1467912709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX V2340) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A17721) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-10-15 |