| NPI | 1689692469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 238191) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 238191) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-05-16 |