| NPI | 1972777852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P4272) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087404) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2016-05-10 |