| NPI | 1871090696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX U4262) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10063398) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2023-07-13 |