| NPI | 1770513061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A69038) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 38846) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IN 01062289A) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: KY 38846) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-04-17 |