| NPI | 1770680738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 185895) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 185895) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-11-10 |