| NPI | 1871554766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CA G83696) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G83696) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2014-04-24 |