| NPI | 1255300422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA07482000) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD055409L) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-07-30 |