| NPI | 1316233000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S1287) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD20931) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX s1287) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2021-06-22 |