| NPI | 1255438131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NY 241468) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB08121300) |
| 207RN0300X Internal Medicine Nephrology (Licence: NJ 25MB08121300) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-07-30 |