| NPI | 1962892463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX R5894) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME139010) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2021-12-02 |