| NPI | 1609051853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX N4646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME105208) |
| 207R00000X Internal Medicine (Licence: MI 4301091550) | |
| 207R00000X Internal Medicine (Licence: IL 036119580) | |
| 207R00000X Internal Medicine (Licence: OH 35.090938) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2022-07-21 |