| NPI | 1235235128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ MA49927) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD028401E) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2010-09-29 |