| NPI | 1932175601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX K4849) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX K4849) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2022-10-12 |