| NPI | 1003010174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME152490) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 245436) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2026-01-26 |