| NPI | 1073137733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A165695) |
| Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: CA A165695) |
| 207RN0300X Internal Medicine, Nephrology (Licence: LA 324610) | |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2025-01-24 |