| NPI | 1265428528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 214315) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME81790) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2014-02-12 |