| NPI | 1215914833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 240215-1) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35-131448) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036108325) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2020-05-07 |