| NPI | 1710298153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: SC DO37715) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101018765) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2021-02-01 |