| NPI | 1962663757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P6578) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P6578) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2020-01-11 |