| NPI | 1619959228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AR E-2877) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 235081) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2013-11-06 |