| NPI | 1770965519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T0987) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX t0987) |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2025-08-13 |