| NPI | 1023070851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA10750100) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 179375) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-02-28 |