| NPI | 1801807144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 5929764-1205) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 48849) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CO 48108) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2024-05-02 |