| NPI | 1154517688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N4778) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A99094) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2016-08-25 |