| NPI | 1477822799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101276636) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AR E-14509) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.126157) | |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2022-12-12 |