| NPI | 1770787251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 255217) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 002746) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2024-10-22 |