| NPI | 1356427199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 202995) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MS 19272) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-11-13 |