| NPI | 1285831099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 270681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 270681) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 270681) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2022-08-18 |