NPI | 1043529506 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 262974) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: RI MD13489) |
207RN0300X Internal Medicine, Nephrology (Licence: VA 0101248493) | |
207RN0300X Internal Medicine, Nephrology (Licence: NH 23096) | |
Enumeration Date | 2010-10-01 |
Last Update Date | 2023-06-23 |