| NPI | 1194924100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 01010263559) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A98051) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2018-06-27 |