| NPI | 1508886482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P1821) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA 34281) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2012-01-03 |