| NPI | 1568088151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 339644) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 284819) |
| 207R00000X Internal Medicine (Licence: MA ETLL-739) | |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2026-07-18 |