| NPI | 1548475932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 5377) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M5790) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2012-10-10 |