| NPI | 1972540557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01088351A) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY C0223) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AR E-11140) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: TN MD0000035914) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-11-15 |