| NPI | 1598966715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX N7528) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KS 0446074) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2024-0241) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AR E15720) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61272007) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: LA 338142) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2024-06-05 |