NPI | 1760838189 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 299833) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 299833) |
Enumeration Date | 2016-05-05 |
Last Update Date | 2023-08-16 |