| NPI | 1174701411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2011025491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 201861) |
| 207R00000X Internal Medicine (Licence: MO 2011025491) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.155058) | |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2023-10-31 |