| NPI | 1790925931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: ME DO2343) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101017858) |
| Enumeration Date | 2009-02-28 |
| Last Update Date | 2019-06-18 |