| NPI | 1306111463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301101253) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301101252) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2018-06-16 |