| NPI | 1699255232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10002503A) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 10002503A) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2024-05-29 |