| NPI | 1467607655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CO DR.0058095) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 268001) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2019-12-20 |