| NPI | 1144473570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX n2747) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N2747) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX N2747) | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2025-07-30 |