| NPI | 1790760940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX L4883) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX 31236) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2021-08-19 |