| NPI | 1487975926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 58895) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 291473) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2019-0105) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2024-04-29 |