| NPI | 1316268469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME113752) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 73317) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2018-10-16 |