| NPI | 1538560586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01093975A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-40025) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2024-09-08 |