| NPI | 1538143599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: LA 014342) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 014342) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2023-02-20 |