| NPI | 1366642191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV 20624) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 243240-1) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2024-07-18 |