| NPI | 1891867198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 225838) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301510942) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2025-01-07 |