| NPI | 1356428072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: ME MD25822) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 217627) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-05-24 |