| NPI | 1861434565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 41915) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01065192A) |
| 207R00000X Internal Medicine (Licence: KY 41915) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2015-06-23 |