| NPI | 1801875083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: TX S1999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX s1999) |
| 207RN0300X Internal Medicine, Nephrology (Licence: HI MD14980) | |
| 2085N0904X (Licence: TX S1999) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX S1999) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2025-08-19 |