| NPI | 1720198013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 109397) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TN MD017125) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-11-18 |