| NPI | 1801878004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NY 208416) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 208416) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-10-14 |