| NPI | 1689166795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2024-0629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2024-0629) |
| 207R00000X Internal Medicine (Licence: PR 22182) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PR 22182) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NM MD2024-0629) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: PR 22182) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2025-07-25 |