| NPI | 1679504559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K3367) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX K3367) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-08-12 |