| NPI | 1710242946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 10310641-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q3571) |
| 207R00000X Internal Medicine (Licence: TX BP10043728) | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2021-11-11 |