| NPI | 1497076988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX Q1941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125058049) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2015-10-26 |