| NPI | 1558332924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NY 212088) |
| Additional Taxonomies | 246ZN0300X Specialist/Technologist, Other Nephrology (Licence: 212088) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2019-12-09 |