| NPI | 1689886582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 43056) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01070126A) |
| 207RN0300X Internal Medicine, Nephrology (Licence: KY 43056) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: IN 01070126A) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2018-03-21 |