| NPI | 1942560974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL OS14676) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019979) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2022-07-21 |