| NPI | 1306021217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX Q6829) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A108698) |
| 207R00000X Internal Medicine (Licence: CA A108698) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2016-01-11 |