| NPI | 1174694665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01058356A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01058356A) |
| 207R00000X Internal Medicine (Licence: IL 036109032) | |
| 208000000X Pediatrics (Licence: IN 01058356A) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2021-02-01 |