| NPI | 1700268059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R5943) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX R5943) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2025-10-28 |