| NPI | 1952500423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2010-00955) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 003032) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2024-05-30 |