| NPI | 1932544608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: RI MD16102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 390200000) |
| 207RN0300X Internal Medicine, Nephrology (Licence: RI LPO3724) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2018-05-07 |