NPI | 1588638118 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 127655-1) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 23291) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2019-12-09 |