| NPI | 1124021381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: LA MD.016338) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA MD.016338) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2024-04-19 |