| NPI | 1932189503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 67596) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 67596) |
| 207R00000X Internal Medicine (Licence: WI 46855-020) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-04-05 |