| NPI | 1376579391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D56161) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D56161) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-03-07 |