| NPI | 1851303788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 12514903-1205) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME83101) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TN 43912) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2022-03-06 |