| NPI | 1386647253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J1011) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX J1011) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX J1011) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2025-10-24 |