| NPI | 1588851232 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX M9147) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M9147) | 
| Enumeration Date | 2007-09-26 | 
| Last Update Date | 2024-04-19 |