| NPI | 1871848663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301505418) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125062223) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 303058) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2024-02-26 |