| NPI | 1194091199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX R6224) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A127737) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A127737) | |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2021-03-29 |