| NPI | 1841524196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PR 17641) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA 143576) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: PR 17641) | |
| 208D00000X General Practice (Licence: PR 17641) | |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2023-05-24 |