| NPI | 1760979991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX U1105) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 311271) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2025-12-28 |