| NPI | 1861429755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX M7318) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 25618) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-08-26 |