| NPI | 1932470689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TX R8405) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: CA A124564) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2024-08-16 |