| NPI | 1740220433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA C144439) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX H4268) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-11-19 |