| NPI | 1396912598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 052782) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 235160) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2021-05-27 |