| NPI | 1306095849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P1297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P1297) |
| 207R00000X Internal Medicine (Licence: IA 38396) | |
| 207R00000X Internal Medicine (Licence: IL 036121577) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2019-11-26 |