| NPI | 1811134281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P9842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 050460) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2022-12-06 |