| NPI | 1457444853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2017-02559) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 38792) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2018-04-25 |