| NPI | 1972916823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 305954) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD455329) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 305954) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2023-08-02 |