| NPI | 1730390584 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01065207A) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01065207A) | 
| 207R00000X Internal Medicine (Licence: PA MD434552) | |
| 207R00000X Internal Medicine (Licence: LA MD.203077) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A126114) | |
| Enumeration Date | 2007-05-24 | 
| Last Update Date | 2022-12-06 |