| NPI | 1841481041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R5049) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.202767) |
| 207RN0300X Internal Medicine, Nephrology (Licence: LA MD.202767) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2024-05-20 |