| NPI | 1194948364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01064176A) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 33299) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2022-05-23 |