| NPI | 1609968536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY NY132290) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY NY132290) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |