| NPI | 1518227537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME143466) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME143466) |
| 207R00000X Internal Medicine (Licence: TX q4830) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX q4830) | |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2023-09-12 |