| NPI | 1235423807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA08979200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08979200) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2025-02-17 |