| NPI | 1700972346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 227127) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CT 043951) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-09-12 |