| NPI | 1689170557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 310454) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 310454-01) |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2024-06-13 |