| NPI | 1265532923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA 05003817L) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MB03667100) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2010-12-16 |