| NPI | 1902887532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX F1646) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 071186) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2013-12-09 |