| NPI | 1558322172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: IN 01051552A) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: KY 35833) |
| 207R00000X Internal Medicine (Licence: KY 35833) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2016-08-25 |