An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Nephrology | 207RN0300X |
| Student in an Organized Health Care Education/Training Program | 390200000X |
* Indicates primary specialty
| NPI Number | 1992066294 |
| Credentials | DO (Doctor of Osteopathic) |
| Entity | Individual |
| Enumeration date | 06/04/2012 |
| Last updated | 08/21/2025 - About 10 months ago |
| Sole proprietor1 | No |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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