| NPI | 1912168345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 8653235-1205) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01069604A) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2024-05-02 |