| NPI | 1457675134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 43044) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX N3282) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |