| NPI | 1508950130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX M5509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01061565A) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-09-18 |