| NPI | 1336121946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 97988) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 212959) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2023-12-21 |