| NPI | 1881897288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P7826) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 0361233721) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IA 38394) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2014-09-15 |