| NPI | 1124265822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 334100) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A107133) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2026-04-06 |