| NPI | 1649321761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A066690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A066690) |
| 208000000X Pediatrics (Licence: CA A066690) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2014-06-12 |