| NPI | 1841492378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 51434) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX Q1280) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2022-07-05 |