| NPI | 1083649735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A109324) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD429546) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2014-09-23 |