| NPI | 1619421963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KS 04-45616) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2021044826) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX BP10056172) | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2022-06-16 |