| NPI | 1821097148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01083118A) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: ME 015565) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-11-17 |