| NPI | 1013390467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 3793) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 26588) |
| 207R00000X Internal Medicine (Licence: TN 3793) | |
| 207R00000X Internal Medicine (Licence: MS T-3032) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2024-03-22 |