| NPI | 1295969699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX R6690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015025783) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2024-04-30 |