| NPI | 1306041918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA11545200) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 76681) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AZ 73588) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2024-04-12 |