| NPI | 1073729463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 310114) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT185140) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2021-09-09 |