| NPI | 1285915322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 259283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 259283) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2021-03-26 |