| NPI | 1336301423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 318289) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101253773) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2022-01-20 |