| NPI | 1841551199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 294350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 294350) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2022-09-21 |