| NPI | 1366608267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD213267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD213267) |
| 207R00000X Internal Medicine (Licence: MA 249946) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MA 249946) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 270920) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2023-06-30 |