| NPI | 1508065681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 56823) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2013018911) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 284652) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2023-09-19 |