| NPI | 1609337880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX W3406) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA OS023788) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2026-06-09 |