| NPI | 1326351420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX BP1-0037482) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX BP2-0048075) |
| Enumeration Date | 2010-07-17 |
| Last Update Date | 2015-10-29 |