| NPI | 1821293382 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A102091) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A102091) | 
| Enumeration Date | 2007-06-15 | 
| Last Update Date | 2023-03-07 |