| NPI | 1588616155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 45097) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX R0804) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2018-05-16 |