| NPI | 1326321449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2021-0293) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6626) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MO 2016038126) | |
| Enumeration Date | 2011-09-25 |
| Last Update Date | 2021-06-10 |