| NPI | 1518967611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX H5952) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AR N7612) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2007-07-14 |