| NPI | 1386814226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX N6087) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA 308639) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2024-07-22 |