| NPI | 1215943592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ MA42964) |
| Additional Taxonomies | 246ZN0300X Specialist/Technologist, Other, Nephrology (Licence: NJ 25MA04296400) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-03-08 |