| NPI | 1518056571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX T0837) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.085741) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.085741) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A97745) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-04-21 |