| NPI | 1053512566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV 13530) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 75694) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2014-11-13 |