| NPI | 1669438842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: HI 19943) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 31852) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2019-04-06 |