| NPI | 1881798270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX M0841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M0841) |
| 207R00000X Internal Medicine (Licence: NC 2021-03447) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2026-04-28 |