| NPI | 1962444638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 8397795-1204) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MT 11089) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-11-27 |