| NPI | 1174019905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AR E-16280) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 33819) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MO 2021011606) | |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2023-07-13 |