| NPI | 1942464151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX R9175) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 44352) |
| 207R00000X Internal Medicine (Licence: TX BP10031809) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60353449) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2023-05-09 |