| NPI | 1700035961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX Q3582) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TN 75678) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI EMC0008040) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MN 76885) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: WI 4387-320) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA MD70017621) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AZ 73791) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2025-10-09 |