| NPI | 1871757021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX Q3991) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 233464) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A113419) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2016-02-19 |