| NPI | 1609087600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX M881) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX M8811) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2024-08-27 |