| NPI | 1346291655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 251486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002938-1) |
| 208000000X Pediatrics (Licence: NY 002938-1) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-04-03 |