| NPI | 1801061239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 239711) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 239711) |
| Enumeration Date | 2008-04-27 |
| Last Update Date | 2017-02-06 |