| NPI | 1922025378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 13798871-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P3554) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX P3554) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-08-28 |