| NPI | 1912198110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 20A10714) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX BP1-0028977) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2020-10-14 |