| NPI | 1538146303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC MD23113) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 35903) |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC 23113) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 35903GA) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2013-10-31 |