NPI | 1073877346 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 314359) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252455) |
Enumeration Date | 2012-07-01 |
Last Update Date | 2023-10-11 |