| NPI | 1629358080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN0300X Registered Nurse, Nephrology (Licence: PR 30183) |
| Additional Taxonomies | 163WN0300X Registered Nurse, Nephrology (Licence: FL RN 9268306) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |