| NPI | 1952652307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 48314) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01075207A) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2023-07-21 |