| NPI | 1083616957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: TN 32138) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TN 32138) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2026-02-16 |