| NPI | 1568952356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 63106) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R76890) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2023-08-31 |