| NPI | 1255780870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 316803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267451) |
| Enumeration Date | 2016-06-04 |
| Last Update Date | 2022-06-07 |