| NPI | 1720376197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01088443A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01088443A) |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 077321) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2022-10-25 |