| NPI | 1215233192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL MD43845) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054864) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MT 56341) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: LA 312321) | |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2024-03-14 |