| NPI | 1811292055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 40554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 40554) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2023-05-16 |