NPI | 1013545292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA12795200) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA12795200) |
Enumeration Date | 2020-04-01 |
Last Update Date | 2025-08-21 |