| NPI | 1891952412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 205500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 232029) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2012-10-24 |