| NPI | 1861416661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IA 04997) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IA 04997) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2025-05-06 |