| NPI | 1609096072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301095451) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 243671) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301095451) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2009-10-09 |