| NPI | 1518122324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01072854A) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.125766) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2022-08-05 |