| NPI | 1073995973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IA MD-47297) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NE 30044) |
| 207R00000X Internal Medicine (Licence: NE 7563) | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2024-07-30 |