| NPI | 1336104389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX J0114) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA 308302) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2021-10-06 |