| NPI | 1902858806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 311720) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 28331) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MD D79920) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-08-10 |