| NPI | 1942472352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 061176) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX M4638) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2018-07-24 |