| NPI | 1144394966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 215485) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 215485) |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: NY 215485) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2016-06-22 |