| NPI | 1689873200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME112583) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 003425) |
| 207R00000X Internal Medicine (Licence: FL ME112583) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2025-10-30 |