| NPI | 1639346380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35C.003571) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01076949A) |
| 207R00000X Internal Medicine (Licence: WA IMLC.MD.70137464) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2026-06-22 |