| NPI | 1619321924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX T5992) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10055736) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX T5992) | |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2025-04-11 |