| NPI | 1861490211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: UT 12599388-1205) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: TX MO998) |
| 207RN0300X Internal Medicine Nephrology (Licence: FL ME138070) | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2024-05-22 |