| NPI | 1164685731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX BP10023256) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX N5688) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2012-02-09 |