| NPI | 1831181650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 229179) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101269775) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2020-10-16 |