| NPI | 1760461768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 455919-1) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CT 042936) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2013-10-16 |