| NPI | 1669422812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA C52769) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 27488) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2018-12-18 |