| NPI | 1104085455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 43698) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY P58065) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2010-10-28 |