| NPI | 1497954515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AR E9182) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX P2874) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2016-05-09 |