| NPI | 1396731212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01064470A) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.076178) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2022-05-27 |