| NPI | 1144222142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01045053A) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.067919) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2022-11-18 |