| NPI | 1932939329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 0000000000000) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TN 00000000) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |