| NPI | 1881639888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 340826) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 227479) |
| 207R00000X Internal Medicine (Licence: MA 227479) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2026-02-18 |