| NPI | 1649400839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A117811) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME104829) |
| 174400000X Specialist (Licence: CA A117811) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL TRN13965) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2024-12-24 |