| NPI | 1881886877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX N6132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND PT10696) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2021-09-10 |