| NPI | 1215215579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101262393) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 269850) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301505722) | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2024-05-15 |