| NPI | 1265592372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 36005-20) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 36005) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-05-21 |