| NPI | 1568852838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301113282) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61151370) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WI 1676-320) | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2024-01-19 |