| NPI | 1720408560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 12777657-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 54523) |
| Enumeration Date | 2014-04-20 |
| Last Update Date | 2022-03-30 |