| NPI | 1740298033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A89504) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY A231100) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2026-01-29 |