| NPI | 1982669495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01080760A) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.138441) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2022-12-02 |