| NPI | 1366977100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A163343) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ZZ 357062) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA PTAL) | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2023-08-04 |