| NPI | 1831252469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 42268) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 248701) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2012-06-19 |