| NPI | 1932229390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME97863) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 60106-20) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2013-10-07 |