| NPI | 1013271535 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 328469)  | 
| Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: NY 328469)  | 
| Enumeration Date | 2012-06-28 | 
| Last Update Date | 2025-02-14 |