| NPI | 1154783801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 300469) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 300469) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 300469) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2025-11-07 |