| NPI | 1548350614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX M9796) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 250506) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-07-07 |