NPI | 1124265822 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 334100) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A107133) |
Enumeration Date | 2009-01-16 |
Last Update Date | 2025-05-12 |