| NPI | 1457303323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX N3316) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD072037L) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2016-07-07 |