| NPI | 1063638989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P7457) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ND 8144) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2023-10-23 |