| NPI | 1205169380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX BP1-0026241) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX BP2-0035684) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |