| NPI | 1760652879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME107810) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: DC MD037977) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2024-12-18 |