| NPI | 1831197433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN MD0000030912) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX T8049) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2026-04-27 |