| NPI | 1205141793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: HI MD-18340) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX P4092) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2020-07-20 |