| NPI | 1689135618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 02007817A) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.61002) |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2024-10-07 |