| NPI | 1356634497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2025-03665) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2025-03665) |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA PAOT013926) | |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2025-12-11 |