NPI | 1124118831 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 250517) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 250517) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2021-10-04 |