| NPI | 1669786042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX Q4249) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P25318) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2026-03-04 |