| NPI | 1720019177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2018-0891) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX L2044) |
| 207R00000X Internal Medicine (Licence: TX L2044) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-10-29 |