| NPI | 1679552897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX N4755) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX N4755) |
| 207R00000X Internal Medicine (Licence: MN 47779) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2020-01-21 |