| NPI | 1922157809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX H6825) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OK 30926) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-04-20 |