| NPI | 1972662260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX T8408) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD19410) |
| 207RN0300X Internal Medicine, Nephrology (Licence: ME MD19410) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2024-01-11 |