| NPI | 1013395979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NV DO2311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL1081) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2024-02-01 |