| NPI | 1043245400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 208866) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07530700) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 208866) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA07530700) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |