| NPI | 1154389534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX T1506) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 217295) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-08-16 |