| NPI | 1649651647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A154997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264267) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2023-08-04 |