| NPI | 1447618384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0102205053) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102205053) |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2023-09-22 |