| NPI | 1134304173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 42908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M8980) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2012-06-19 |