| NPI | 1356370266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NY 203228) |
| Additional Taxonomies | 2080P0210X Pediatrics Pediatric Nephrology (Licence: NY 203228) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2010-10-20 |