| 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 |