| NPI | 1962885350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX V1616) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OK 37586) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2026-05-22 |