| NPI | 1851556864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P9577) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054989) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A117171) | |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2021-11-29 |