| NPI | 1346767266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX T9520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 33271R) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2025-01-07 |