| NPI | 1003003609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX N3969) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N3969) |
| 207R00000X Internal Medicine (Licence: VA 0101249410) | |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2021-07-08 |