| NPI | 1952352510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P0645) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OK 34790) |
| 207R00000X Internal Medicine (Licence: VA 0101245604) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101245604) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AR E3610) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-08-21 |