| NPI | 1942394432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 23094) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P5482) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX P5482) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 050563) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-03-02 |