| NPI | 1538361225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301090195) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: MI 4301090195) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2017-05-08 |