NPI | 1053336255 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 240474) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 240474) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2018-01-19 |