| NPI | 1396732913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: AZ 29723) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: TX K6524) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2023-03-07 |