| NPI | 1063518074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 235907) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 235907) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2012-05-18 |