| NPI | 1790794873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A102519) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A102519) |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2026-04-28 |