| NPI | 1649225558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A88849) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A88849) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A88849) | |
| 2086S0129X (Licence: CA A88849) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-09-15 |