| NPI | 1538964861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71016560A) |
| Additional Taxonomies | 163WN0300X Registered Nurse, Nephrology (Licence: IN 28218779A) |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-04-25 |