| NPI | 1801894365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX H6541) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX H6541) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2012-11-27 |