| NPI | 1689935751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC pending) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT014512) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2022-02-11 |