| NPI | 1588899256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P2839) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 253237) |
| Enumeration Date | 2009-05-24 |
| Last Update Date | 2014-01-03 |