| NPI | 1205179470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: SD 10931) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: IA MD-45351) |
| 207RN0300X Internal Medicine Nephrology (Licence: CA A143474) | |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2022-10-07 |