| NPI | 1093034084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PR 21122) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA MD.206323) |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2019-11-22 |