| NPI | 1376805085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61012370) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 292432-1) |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2024-04-26 |