| NPI | 1073877346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 314359) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252455) |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2023-10-11 |