| NPI | 1700013612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX S7953) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S7953) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2025-12-30 |