| NPI | 1144258609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 223495) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 2234951) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2008-06-02 |