| NPI | 1104057751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D78359) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 265398) |
| 208M00000X Hospitalist (Licence: NJ 25MA08620700) | |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2020-12-21 |