| NPI | 1326037227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 241959) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101046733) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2016-06-08 |