| NPI | 1043529506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 262974) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: RI MD13489) |
| 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101248493) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NH 23096) | |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2023-06-23 |