| NPI | 1902354277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.35526) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01076619A) |
| 207RN0300X Internal Medicine Nephrology (Licence: AL MD.35526) | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2019-04-03 |