| NPI | 1205199619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: ZZ 20001/15604) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01077198A) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2024-05-31 |