| NPI | 1487909867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX R2502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251701) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2019-05-16 |