| NPI | 1225456882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX U3482) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME144535) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2025-03-10 |