| NPI | 1710939848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 252311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002578) |
| 207R00000X Internal Medicine (Licence: MA 252311) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-06-12 |