| NPI | 1659650091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX T3354) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-122832) |
| 207R00000X Internal Medicine (Licence: OH 57.019023) | |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2022-07-07 |