| NPI | 1760740849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PR 19102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19102) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2019-10-14 |