| NPI | 1891950234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO DR0065160) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX P3387) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A144413) | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2023-05-31 |