| NPI | 1710906532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PR 16395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 16395) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-11-10 |