| NPI | 1780034306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX T4231) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 007892) |
| 207R00000X Internal Medicine (Licence: FL OS14782) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2022-02-10 |