| NPI | 1295778108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD420924) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD420924) |
| 174400000X Specialist (Licence: NJ 25MA07674900) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-11-03 |