| NPI | 1245593490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MD D0079692) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: DC MD040673) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2023-08-02 |