| NPI | 1619157310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2013-02240) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC 84787) |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 61484) | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2024-03-19 |