| NPI | 1295466324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 79258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MDR-8344) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2025-05-05 |