| NPI | 1578748448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX N4620) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA MD.203528) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IN 01062647A) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2015-08-20 |