NPI | 1700362670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01088556A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01088556A) |
207R00000X Internal Medicine (Licence: NY 000000) | |
207RN0300X Internal Medicine, Nephrology (Licence: TX BP10063896) | |
Enumeration Date | 2018-07-13 |
Last Update Date | 2023-09-28 |