| NPI | 1073827762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P8227) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX P8227) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX P8227) | |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2019-09-04 |