| NPI | 1295790707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX M7257) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00025682) |
| 207R00000X Internal Medicine (Licence: TX M7257) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AL 25682) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2012-12-26 |