| NPI | 1184914723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: AR E-16018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 301234) |
| 207R00000X Internal Medicine (Licence: MI 4301114410) | |
| 207R00000X Internal Medicine (Licence: CA A126465) | |
| 207RN0300X Internal Medicine Nephrology (Licence: NY 301234) | |
| 207RN0300X Internal Medicine Nephrology (Licence: MI 4301114410) | |
| 207RN0300X Internal Medicine Nephrology (Licence: CA A126465) | |
| 208600000X Surgery (Licence: NY 301234) | |
| Enumeration Date | 2011-04-16 |
| Last Update Date | 2023-06-08 |