| NPI | 1568416865 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01040936A) | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.068806) | 
| Enumeration Date | 2006-05-20 | 
| Last Update Date | 2022-05-27 |