| NPI | 1457404816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A54966) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AR T2006-186) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2023-07-21 |