| NPI | 1376602060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MS 23573) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 02003331A) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2018-03-17 |