| NPI | 1316508344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 330736) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 280824) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2024-11-25 |