| NPI | 1720033038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 21527) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TN MD0000021527) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2025-08-22 |