| NPI | 1972850055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 82822) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 284593) |
| 208M00000X Hospitalist (Licence: NY 284593) | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2022-02-15 |