NPI | 1740358332 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 123917) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 123917) |
207RN0300X Internal Medicine, Nephrology (Licence: NY 123917) | |
Enumeration Date | 2006-12-01 |
Last Update Date | 2007-07-08 |