| NPI | 1750674842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX R2880) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX R2880) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2025-11-25 |