| NPI | 1528077732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: GA 86856) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: NY 205041-1) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2024-01-12 |