| NPI | 1083630628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA06278700) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ MA62787) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2023-03-27 |