| NPI | 1538166640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 51085951205) |
| Additional Taxonomies | 174400000X Specialist (Licence: UT 51085951205) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2024-05-02 |