| NPI | 1407911100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G046555) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA G046555) |
| 208U00000X Clinical Pharmacology (Licence: CA G046555) | |
| Enumeration Date | 2006-12-25 |
| Last Update Date | 2014-12-11 |