| NPI | 1548600281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2021-01426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 006554) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2021-07-15 |