| NPI | 1740679414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MA 297197) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125 066440) |
| 207R00000X Internal Medicine (Licence: MA 279197) | |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2022-11-17 |