| NPI | 1164713095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX S7930) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA 324047) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2021-10-08 |