| NPI | 1255379392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 31557) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 199600) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2021-06-24 |