| NPI | 1689938763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 291911) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: NY 291911) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2018-05-12 |