| NPI | 1487068326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX U7381) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KS 0439677) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2025-10-24 |