| NPI | 1477994366 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01076648A)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102865)  | 
| Enumeration Date | 2013-07-09 | 
| Last Update Date | 2020-12-17 |