| NPI | 1720184187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q1073) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NM 20050023MD) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 182772) | |
| 207R00000X Internal Medicine (Licence: AZ 34425) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-11-29 |