| NPI | 1770826596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TX R5155) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 302652) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2021-03-22 |