| NPI | 1679527527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX D9710) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: TX D9710) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2018-12-04 |