| NPI | 1396901229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 281734) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054235) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 281734) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NH RT2160) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 121243) | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2023-06-28 |