| NPI | 1821243171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TX R4176) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.204037) |
| Enumeration Date | 2008-11-28 |
| Last Update Date | 2022-03-21 |