| NPI | 1174685648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX N2789) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN7390) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2019-07-18 |