| NPI | 1255464590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL ME99263) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: NY 234498) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2019-12-11 |