| NPI | 1295739076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 38355) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01053730A) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2025-07-01 |