| NPI | 1063546406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P1006) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 245205) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AL 33431) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-01-06 |