| NPI | 1619933074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 42311) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01066017A) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2012-10-15 |