| NPI | 1205307154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01099129A) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 317628) |
| 207R00000X Internal Medicine (Licence: NY 317628) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2026-03-09 |