NPI | 1568456895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 106253) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 106253) |
Enumeration Date | 2005-09-01 |
Last Update Date | 2022-12-30 |