| NPI | 1184841603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX Q3576) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OK 31742) |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME98208) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2026-01-13 |