| NPI | 1831353440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX N8705) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 532634) |
| 207R00000X Internal Medicine (Licence: TX N8705) | |
| Enumeration Date | 2008-07-12 |
| Last Update Date | 2026-01-07 |