| NPI | 1508898123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MI DM053010) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301053010) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-09-14 |