| NPI | 1447560719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MS 23278) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: TN 51350) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2021-12-23 |