| NPI | 1891747937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P1294) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA 35206) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2012-01-23 |