| NPI | 1265521793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 132788) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA MD203447) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA06827700) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-11-13 |