| NPI | 1174787311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TX P0975) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 18177) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2022-05-19 |