| NPI | 1841399656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD431873) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX S3140) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NM MD20200175) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2025-01-30 |