| NPI | 1992017545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TX P1534) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10038166) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2016-11-04 |