| NPI | 1679574891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P2256) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0063118) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2026-01-13 |