| NPI | 1982837415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC MD37981) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192193) |
| 207R00000X Internal Medicine (Licence: IN 01069628A) | |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2015-09-14 |