| NPI | 1225219884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 271599) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VT 042.0013886) |
| 208M00000X Hospitalist (Licence: NY 003631) | |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2022-07-21 |