| NPI | 1740426592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01066894A) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX R0622) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2025-11-11 |