| NPI | 1215019120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA09405000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09405000) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2024-05-02 |