| NPI | 1922070614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 20022016480) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2002016480) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2022-03-14 |