| NPI | 1942409529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 13806230-1205) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2004031368) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2024-04-26 |