| NPI | 1225108798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 190960-1) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 190960-1) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-10-27 |