| NPI | 1942336938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 4991684-1205) |
| Additional Taxonomies | 174400000X Specialist (Licence: UT 4991684-1205) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2023-08-04 |