| NPI | 1245270644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 002052) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 265570) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-07-05 |