| NPI | 1659500486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX V8040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2014-0530) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2025-05-06 |