| NPI | 1568431666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: HI MD-20522) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD16666) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2022-11-07 |