| NPI | 1669673398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NY 319016) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 28253) |
| 207R00000X Internal Medicine (Licence: PA MD447427) | |
| 207R00000X Internal Medicine (Licence: NY 319016) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2022-12-21 |