| NPI | 1740228436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME138766) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036087881) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-07-05 |