| NPI | 1730492877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 051890) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 298703) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2026-01-27 |