| NPI | 1245234095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 37746) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01051044A) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2026-09-04 |