| NPI | 1598806895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MS 10768) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 10768) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2010-06-18 |