| NPI | 1730470220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A158574) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 283775-1) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2025-11-20 |