| NPI | 1699707463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV 12941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101237323) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-01-25 |