| NPI | 1104139633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA G28193) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G28193) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |