| NPI | 1033413760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2017-01256) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 60261179) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2023-08-29 |