| NPI | 1427469402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NV DO2133) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: TX BP10058973) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2024-04-17 |