| NPI | 1750873238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX V8751) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD216486) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OR MD216486) | |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2025-06-17 |