| NPI | 1518209758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T3315) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A133424) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2023-12-07 |