| NPI | 1528092723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX M2246) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX M2246) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-04-05 |