| NPI | 1952696221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 279935) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 279935) |
| 207R00000X Internal Medicine (Licence: MA 248802) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2024-05-31 |