| NPI | 1548437148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CT 048851) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 247808) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2011-11-03 |