| NPI | 1821269051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME117767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 17275) |
| 207R00000X Internal Medicine (Licence: FL ME117767) | |
| Enumeration Date | 2008-03-15 |
| Last Update Date | 2024-03-15 |