| NPI | 1285742726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA a65695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a65695) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2024-05-03 |