| 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 |