| NPI | 1275682213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 272200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002712) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2024-04-16 |