| NPI | 1275826364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX Q0824) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10041534) |
| 207R00000X Internal Medicine (Licence: TX Q0824) | |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2024-01-02 |