| NPI | 1003810516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PR 14653) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 14653) |
| 207R00000X Internal Medicine (Licence: FL ME 86319) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME 86319) | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2013-12-03 |