| NPI | 1184873234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TX P6763) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08949000) |
| 207R00000X Internal Medicine (Licence: TX P6763) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-09-13 |
| Last Update Date | 2023-05-09 |