| NPI | 1447548540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 325149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 325149) |
| 207R00000X Internal Medicine (Licence: NY 278323) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2023-07-12 |