| NPI | 1730536889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX T0535) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T0535) |
| 207R00000X Internal Medicine (Licence: KS 94-08942) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2022-06-29 |