| NPI | 1023062353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD430288) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 219785-1) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2025-01-03 |