| NPI | 1245295989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TX M5250) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: IN 01046695) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2014-06-05 |