| NPI | 1467618363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A91481) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WV 23178) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2017-03-17 |