| NPI | 1548423114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 21527) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MS 21527) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2015-07-28 |