| NPI | 1093014458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 269206) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD456401) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2016-10-31 |