| NPI | 1679579791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX J6047) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX j6047) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2024-10-28 |