| NPI | 1992019129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TN 58579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097376) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2023-06-01 |