| NPI | 1952582157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P1199) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P1199) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301079766) | |
| 208000000X Pediatrics (Licence: MI 4301079766) | |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX P1199) | |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MI 4301079766) | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2023-03-07 |