| NPI | 1457666570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX S4871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S4871) |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC 37459) | |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2023-07-19 |