| NPI | 1952469314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX L9259) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 310160) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00040832) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 310160) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2022-08-22 |