| NPI | 1336753300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 334414) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 334414) |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2026-04-21 |