| NPI | 1194170761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 306209) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 63490) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2024-08-28 |