| NPI | 1063474195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME88718) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME88718) |
| 207R00000X Internal Medicine (Licence: AL 24142) | |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: FL ME88718) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AL 24142) | |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: AL 24142) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2015-09-01 |