| NPI | 1467616128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: ND 13382) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.053844) |
| 207R00000X Internal Medicine (Licence: ND 13382) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2022-12-15 |