| NPI | 1790787612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX F9815) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX F9815) |
| 207R00000X Internal Medicine (Licence: TX F9815) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2013-04-22 |