| NPI | 1841693728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX V2044) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 11763976-1205) |
| 208D00000X General Practice (Licence: PR 18877) | |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2024-07-15 |