| NPI | 1972944247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX V8876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018044737) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61509146) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MO 2018044737) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2026-05-22 |