NPI | 1912001249 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 106113) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 106113) |
Enumeration Date | 2006-09-08 |
Last Update Date | 2010-01-05 |