| NPI | 1932395811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX Q2427) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 201657) |
| 207R00000X Internal Medicine (Licence: TX Q2427) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MS 20565) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AZ 43632) | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2022-09-02 |