| NPI | 1902882806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 12362200-1204) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 4200) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2024-05-02 |