| NPI | 1154334464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TX F8471) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX F8471) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-06-03 |