| NPI | 1194160739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TX R4800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R4800) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2020-01-21 |