| NPI | 1578631784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN MD0000040647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000040647) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2026-04-21 |