| NPI | 1538230628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CT 57022) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: NY 181224) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-10-30 |