| NPI | 1962423103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A85616) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NM 2000-85) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX L4618) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2021-11-09 |