| NPI | 1912288002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 72473) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX S0176) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2020-01-10 |