| NPI | 1659365286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NV 12481) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: TX L1150) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2024-05-16 |