| NPI | 1265534010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX L8774) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NM 0152) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2015-05-15 |