| NPI | 1497790646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: ID M9255) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID M9255) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-01-21 |