| NPI | 1184899981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 046775) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CO CDR.0001719) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2024-03-06 |