| NPI | 1902982382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 5525877-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 5525877-1205) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OR MD196402) | |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2022-12-11 |