| NPI | 1790028025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 276503) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 276503) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 276503) | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2020-08-10 |