| NPI | 1215919881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX K8251) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OK 20569) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2024-06-25 |