| NPI | 1215360508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 59192) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A154593) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A154593) | |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2024-05-09 |