| NPI | 1588665228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: TX H0822) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: TX H0822) |
| 2080P0210X Pediatrics Pediatric Nephrology (Licence: TX H0822) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2024-06-27 |