| NPI | 1578515896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A94608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 4444) |
| 207R00000X Internal Medicine (Licence: CA A94608) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NM RS2012-0789) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2015-08-11 |