| NPI | 1154614386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 288665) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02183) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MA 258574) | |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2023-06-29 |