| NPI | 1629363106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A140925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10041545) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2022-07-21 |