| NPI | 1619146966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2009-0775) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2009-0775) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IN 01078003A) | |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2023-07-24 |