| NPI | 1932619772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2019026883) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2017034328) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2021-04-26 |