| NPI | 1104277235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301110146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01082592A) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301509009) | |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2023-07-21 |