| 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 |