| NPI | 1154614832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX Q5314) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194196) |
| 207R00000X Internal Medicine (Licence: IA 40683) | |
| 207R00000X Internal Medicine (Licence: IA MD-40683) | |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2018-07-14 |