NPI | 1255335279 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX K1787) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K1787) |
Enumeration Date | 2005-06-08 |
Last Update Date | 2010-12-15 |