| NPI | 1316234776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01076171A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01076171A) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2019-06-25 |