| NPI | 1891113577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX S3105) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AR E12500) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OK 35125) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2019-08-21 |