| NPI | 1346288735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 059304) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M0853) |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 059304) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-10-13 |