| NPI | 1871513358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 14199803-1205) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 35802) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2025-01-14 |