| NPI | 1093919920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA12750300) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA 205172) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2025-12-02 |