| NPI | 1629269972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 84952) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 84952) |
| 207R00000X Internal Medicine (Licence: IN 01071094A) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: IN 01071094A) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2022-02-15 |