| NPI | 1295711950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 153000) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CT 027685) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2010-03-24 |