| NPI | 1508271404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX S7704) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: TX S7704) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2023-11-13 |