| NPI | 1093902496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A144881) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 17941) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 279615) | |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2024-10-11 |