| NPI | 1629170428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA C53367) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX L5974) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61209641) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2023-06-23 |