| NPI | 1871784967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P5668) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA MD.200918) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2022-11-07 |