| NPI | 1205803152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NJ 25MA06186300) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: NJ MA07261500) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2022-09-21 |