| NPI | 1982010971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 298352) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 298352) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2020-01-30 |