| NPI | 1144425539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 235524) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11012581A) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2019-08-05 |