| NPI | 1952759391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX T2713) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 91423) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2022-04-28 |