| NPI | 1831103662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 168040-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 168040) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-08-14 |