| NPI | 1487859823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P4060) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P4060) |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2022-06-02 |