| NPI | 1285634592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX M1876) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AR E4176) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2020-07-29 |