| NPI | 1578979803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 291043) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301119269) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2023-07-07 |