| NPI | 1396746376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX L3996) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AR E3289) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OK 23061) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2011-04-08 |