| NPI | 1306188321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 323672) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101265327) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2023-09-05 |