| NPI | 1679918742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 287713) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 76596) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2019-04-07 |