| NPI | 1487813275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 253662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 253662) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2016-11-01 |