| NPI | 1275642837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 329445) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01051517A) |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME110022) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2022-04-19 |