| NPI | 1750465308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01061220A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01061220A) |
| 207R00000X Internal Medicine (Licence: IN 01061220A) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2021-01-26 |