| NPI | 1467654541 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX D1543)  | 
| Additional Taxonomies | 174400000X Specialist (Licence: TX D1543)  | 
| 207R00000X Internal Medicine (Licence: TX D1543)  | |
| Enumeration Date | 2007-06-01 | 
| Last Update Date | 2024-06-18 |