| NPI | 1992969331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A117183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 40531) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2021-12-04 |