| NPI | 1487107819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A169901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301503015) |
| 207R00000X Internal Medicine (Licence: CA A169901) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2024-09-11 |