| NPI | 1720065212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 172244) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 172244) |
| 207R00000X Internal Medicine (Licence: NY 17224) | |
| 207R00000X Internal Medicine (Licence: FL ME10891) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME10891) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2024-02-12 |