NPI | 1962892463 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX R5894) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME139010) |
Enumeration Date | 2015-02-04 |
Last Update Date | 2021-12-02 |