| NPI | 1558590067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 277637) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 21691) |
| 207R00000X Internal Medicine (Licence: NY 277637) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2016-09-02 |