NPI | 1528268331 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R3694) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX R3694) |
Enumeration Date | 2007-07-19 |
Last Update Date | 2021-02-26 |