| NPI | 1003921495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX Q1964) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036-113589) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2015-02-27 |