| NPI | 1942287826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX M9236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 04221) |
| 207R00000X Internal Medicine (Licence: TX M9236) | |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2023-08-14 |