| NPI | 1083242887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MT232269) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11886500) |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2025-07-17 |