NPI | 1932587458 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX V0042) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 298273) |
207R00000X Internal Medicine (Licence: LA 327412) | |
207R00000X Internal Medicine (Licence: TX V0042) | |
Enumeration Date | 2015-05-16 |
Last Update Date | 2024-07-23 |