| NPI | 1093805863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX N0306) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: HI MD-10689) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2015-08-13 |